Chabot Swim Academy Registration

Please read before you fill out the form below.

We are proud to announce we are partnering with the city's parks and recs department to bring you a fall clinic for the first time ever!

With this partnership, it will bring slight changes to registration and physical locations. We are offering the choice to participate on weekdays, weekends, or both. If you choose to do both, you will receive a bundled discount. Please read each description carefully before signing up.

Weekdays:

Dates: Monday, September 9^th-Thursday, November 7^th
Days: Monday, Tuesday, Thursday
Times: 4:30-5:20 & 5:20-6:10 (Please only choose one time slot when registering)
Location: Farrelly Pool, 864 Dutton Ave. San Leandro (There is a parking lot at 951 Dowling St. at Roosevelt Elementary School and street parking on Dutton)
Cost: $260
Register here
You do not need to fill out this form if you sign up for weekdays.

Weekends:

Dates: Sunday, September 8^th-Sunday, November 10^_th_{(Not including Sept. 28^th, Oct 5^th and Oct 10^th)}
Days: Saturday & Sunday
Times: 9:00 am - 10:00 am & 9:50 am -10:50 am
Location: San Leandro High School Pool, 2200 Bancroft Ave. San Leandro (Plenty of parking. Use the driveway closest to 136^th Ave. if you're facing the school it will be on the right side.)
Cost: $260
Register below

Both:

Cost: $450
Registration: Sign up with the city first, receive a receipt, and enter the receipt number on this form to receive the bundled discount.

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name*

First NameLast Name

Gender

MaleFemaleN/A

Age*

Is your child currently on a swim team?*

YesNo

Name of Swim Team

Parents, when signing up, use the group descriptions below for the appropriate slot in our Weekend Clinic. Each time slot offers all three groups.

Level 1 Swimmers:

Swimmers who maybe have not been on a team or have limited competitive experience. Level 1 swimmers can swim a 1/2 lap of Freestyle and backstroke, know the basics of butterfly and breastroke but typically need work on all the strokes and maybe need to be taught Butterly or breastroke. This group is typically under 8 years of age. If swimmers have not been on a team, they have already achieved a high level in lessons and can swim in deep water without any assistance.

Level 2 Swimmers;

Swimmers who have been on a team at least 1 season and are typically under 12 years of age. This group will focus on all of the Level 3 elements with more focus on teaching for stroke improvement. The pace of this group will be moderate but we will also do a lot of repetitions in order to hone all the skills above. These swimmers may need to be taught some of the turns with a focus on improving dives and underwater work. Sets will be geared to allow the repetitions to be done in a moderate fashion.

Level 3 Swimmers:

Swimmers who have been on a swim team at least 1 season and are 10 + years old. They can do multiple laps of freestyle, Backstroke as well as a full lap of Butterfly and Breastroke. For instance; if they are 10 or 11 and have only 1 year of swim team experience, perhaps they would benefit more in Level 2.

The focus will be on improving stroke technique, not necessarily teaching the stroke in this level. We will do Turns for every stroke as well as all the IM turns. Diving and underwater work will be taught and improved. Finishes in every stroke will be taught, if needed, and practiced. All drills for every stroke will be taught and/or improved upon and we will do all of this in well paced sets with a lot of repetitions on the skill set we will work on that day.

Makeup Days for Missed Classes:

Please note that makeups for missed days can be very challenging. While we cannot guarantee makeups, we will do our best to accommodate up to three missed days. If you know you will be missing classes, please see Bill to discuss possible options. Unfortunately, we cannot accommodate swimmers who wish to mix weekday and weekend sessions or swap scheduled days. It is essential that swimmers attend their scheduled time. If there is a conflict, I will try to make arrangements if other swimmers will be missing, but please understand that we cannot guarantee more than three makeup days.

As always we will keep the numbers low as we want to teach all the skills and techniques, but we will include some time for sprinting and endurance. Diving, Turns, Finishes, underwater and pacing will all be taught and discussed. Relay starts and all stroke techniques will be taught or improved upon if possible.

I am looking forward to working this Fall Clinic with everyone. I have several great ex coaches and current coaches coming to work with us and I know it will be a very productive time.

Weekdays or Weekends?*

Please go to the city's parks and recs page to register for the weekday clinic. You do not need to fill out this form if you sign up for weekdays.

Please go to the city's parks and recs page to register for the weekday clinic first, get receipt, and enter it below. Your receipt number will be at the top of your confirmation email. Please refer to the image below for help locating your number.

Location of receipt number

Receipt Number

Select a Weekend Time

Weekend Clinic (Sat/Sun) - 9:00-9:55 AM

Weekend Clinic (Sat/Sun) - 9:50-10:45 AM

Notes to Bill

Notes to Bill regarding your swimmer.

Emergency Contact*

First NameLast Name

Primary Phone Number*

Please enter a valid phone number.

WAIVER AND RELEASE OF LIABILITY

In consideration of the risk of injury that exists while participating in SWIM LESSONS (hereinafter the ‘activity’) and

IN CONSIDERATION OF my desire to participate in said activity

I HEREBY, for myself, my heirs, executors or any and all personal representatives, knowingly and voluntarily enter into the WAIVER AND RELEASE of LIABILITY and waive any and all claims or causes of action of any kind arising out of my participation in the ‘activity’.

I HEREBY release and forever discharge Chabot Swim Academy located at 18893 Huber ave. Castro Valley, Ca. and William Kriskovich and any other affiliates, managers, agents, staff, and volunteers from any physical or psychological injury that I or my child or children may suffer as a direct result of my, or their, participation in the ‘activity’.

I am voluntarily participating and allowing my Children to participate in the ‘activity’ at mine or their own risk. I am fully aware of the risks involved and associated with said participation.

I FURTHER AGREE to indemnify, defend and hold harmless Chabot Swim Academy, William Kriskovich and all parties involved against all claims or actions of any kind for liability, damages, or compensation for mine or their participation in the Activity.

I acknowledge that I have carefully read and understand this waiver and release of liability.

Signed______________________________

This waiver and release of liability shall remain in effect for the duration of my participation in the Activity during this initial and call subsequent events of participation

Signature

Notes

If you have a question or special request, please write it here. (Ex: Additional adults picking up/dropping off your child, such as a nanny or step-parent)

*Please pay at the time of registration.

Please choose a payment option:*

ZelleVenmo

Venmo Username

Last 4 Digits of Your Phone Number

Both Weekdays & Weekends: $450

Weekends: $260

I hereby confirm that I have successfully submitted my payment for the swim clinic. I understand and acknowledge that my payment secures my spot, and it is the payment receipt that validates my registration, not solely the form submission.*

Please verify that you are human*

2024 Chabot Swim Club Fall Clinic Registration

Parent's Information

Swimmer's Information

Clinic Selection

Emergency Contact

Waiver

Payment